Comparison of Different Parameters in the Diagnosis of Acute Abdomen
Aim: Acute abdominal syndrome (AAS) defines the failure to establish the primary diagnosis rather than being a definitive diagnosis. The fact that many patients are discharged from the hospital without surgical intervention as well as the decision regarding which patients should undergo surgery...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2011-06-01
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| Series: | Haseki Tıp Bülteni |
| Subjects: | |
| Online Access: | http://www.hasekidergisi.com/makale_4612/Akut-Batin-Teshisinde-Cesitli-Parametrelerin-Kontrol-Grubu-Ile-Kiyaslanmasi |
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| Summary: | Aim: Acute abdominal syndrome (AAS) defines the failure to
establish the primary diagnosis rather than being a definitive
diagnosis. The fact that many patients are discharged from the
hospital without surgical intervention as well as the decision
regarding which patients should undergo surgery and when, all
may create a dilemma for the clinician.
Methods: We analyzed and recorded the data of 50 randomly
chosen patients with a primary diagnosis of AAS who had been
hospitalized in the emergency surgical department for follow-up.
The study group was compared with a control group (50
patients) who had been directly operated on for AAS without a
preceding observation. The parameters used in the study were
age, gender, guarding, rebound tenderness, ultrasonography,
leucocytosis, and left shift of the neutrophils.
Results: The mean age of the patients in the study group was
statistically significantly higher than that in the control group
and surgery was not necessary in 88%.Statistically significant
difference was found between the two groups for guarding,
rebound tenderness, ultrasonography, and gender. Logistic
regression analysis revealed that rebound tenderness and
ultrasonography results were more valuable than the other
parameters. Rebound tenderness and ultrasonography
influenced the decision for surgical intervention by 7.9- and 17.3-
fold increases, respectively.
Conclusion: We think that our parameters can be used as a
guide by clinicians working in emergency departments to decide
which patient should be operated on since only 12% of the
study group had necessitated surgical intervention. (The Medical
Bulletin of Haseki 2011;49: 77-83 |
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| ISSN: | 1302-0072 2147-2688 |